| Entity Name: | CHP PANAMA CITY FL TENANT CORP. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Profit |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 17 Jun 2015 (10 years ago) |
| Document Number: | F15000002645 |
| FEI/EIN Number |
47-4304726
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 450 S. ORANGE AVENUE, 14TH FLOOR, ORLANDO, FL, 32801 |
| Mail Address: | P.O. BOX 4920, ORLANDO, FL, 32801, US |
| ZIP code: | 32801 |
| County: | Orange |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1861119943 | 2022-10-20 | 2022-10-20 | 2573 BARRINGTON CIR, TALLAHASSEE, FL, 323086805, US | 95 GRAND HERON DR, PANAMA CITY BEACH, FL, 324072553, US | |||||||||||||||||||
|
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| Phone | +1 850-434-3232 |
Authorized person
| Name | SETH WALKER |
| Role | CFO, SRIM |
| Phone | 8505837990 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 113534700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BRACCO TRACEY B | Seni | 450 S. ORANGE AVENUE, ORLANDO, FL, 32801 |
| DUARTE IXCHELL C | Seni | 450 S. ORANGE AVENUE, ORLANDO, FL, 32801 |
| Mauldin Stephen H | President | 450 S. ORANGE AVE, ORLANDO, FL, 32801 |
| Rawls Kaki | Secretary | 450 S. ORANGE AVENUE, ORLANDO, FL, 32801 |
| Rawls Kaki | Vice President | 450 S. ORANGE AVENUE, ORLANDO, FL, 32801 |
| McRae John | Secretary | 450 S. ORANGE AVENUE, ORLANDO, FL, 32801 |
| McRae John | Vice President | 450 S. ORANGE AVENUE, ORLANDO, FL, 32801 |
| BRACCO TRACEY B | Agent | 450 S. ORANGE AVENUE, ORLANDO, FL, 32801 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000011056 | SUPERIOR RESIDENCES OF PANAMA CITY BEACH | ACTIVE | 2021-01-22 | 2026-12-31 | - | 2573 BARRINGTON CIRCLE, TALLAHASSEE, FL, 32308 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-11-18 | 450 S. ORANGE AVENUE, 14TH FLOOR, ORLANDO, FL 32801 | - |
| REGISTERED AGENT NAME CHANGED | 2021-11-18 | BRACCO, TRACEY B | - |
| REGISTERED AGENT ADDRESS CHANGED | 2021-11-18 | 450 S. ORANGE AVENUE, 14TH FLOOR, ORLANDO, FL 32801 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-04 |
| ANNUAL REPORT | 2023-04-19 |
| ANNUAL REPORT | 2022-04-05 |
| Reg. Agent Change | 2021-11-18 |
| ANNUAL REPORT | 2021-03-11 |
| ANNUAL REPORT | 2020-03-30 |
| ANNUAL REPORT | 2019-04-03 |
| ANNUAL REPORT | 2018-03-28 |
| ANNUAL REPORT | 2017-03-22 |
| ANNUAL REPORT | 2016-03-31 |
Date of last update: 02 Mar 2025
Sources: Florida Department of State
